Certified Medical Coder

Raphael Health Center Inc•Indianapolis, IN

About The Position

The Certified Medical Coder will be responsible for analyzing patient charts to assign specific codes for diagnoses and procedures. This role involves collecting health information, coding appropriately, and consulting with providers to ensure accurate classification. The coder will also maintain certification, conduct audits, review charts for denied claims, and handle billing functions related to coding. Additionally, the position requires assisting clinic staff, collaborating with supervisors to improve revenue and efficiency, and communicating billing requirements to providers. Maintaining confidentiality in accordance with RHC policy, HIPAA, and other regulations is crucial. The role also involves exemplifying the RHC mission through excellent service and attending staff meetings.

Requirements

Business school training in medical billing preferred or comparable two years
Current CPC or HCPCS Certification.
Demonstrated knowledge/experience with medical terminology, claims processing, and medical coding.
Thorough understanding of managed care concepts including HMO, MCE and capitation.
Solid understanding of Medicaid and Medicare.
Solid understanding of the complete billing cycle.
Proficient with MS Office and Practice Management Systems [ECW preferred].
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, supervisors, co-workers and vendors.
Exceptional customer service skills.

Nice To Haves

ICD-10 certification a plus
Dental billing experience a plus.
Optometry billing experience a plus.
Bilingual in Spanish a plus.

Responsibilities

Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
Collect health information as documented by medical providers and code appropriately.
Consult with providers for further classification of items on patient charts to avoid misinterpretations.
Maintain certification by staying up to date on new coding rules and regulations.
Conduct audits of patient charts to verify appropriate coding was applied and review with physicians for training purposes.
Review of patient medical charts to identify proper coding for denied claims.
Collect and distribute coding related information and billing issues.
Handle claims denial follow-up.
Perform billing functions as it pertains to coding.
Assist Clinic staff with patient coding and related procedures.
Collaborate with supervisor to increase revenue and system efficiency.
Communicate all outstanding billing required from Providers on a timely basis.
Maintain confidentiality in accordance with RHC policy, HIPAA and any other applicable regulatory requirements.
Exemplify the RHC mission through a personal example of excellent service to patients, visitors and coworkers.
Attend regularly scheduled staff meetings.
Other duties as assigned.